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id="1725346382484619266_Note"></span></div><div class="itemTR" id="1725346382677557250_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-0-3-5-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他诊断ICD-10六位临床编码与名称2</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725346382677557250" itemCode="AF-0-3-5-2"><a id="1725346382677557250_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346382677557250_Note"></span></div><div class="itemTR" id="1725346382866300929_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-0-3-5-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他诊断ICD-10六位临床编码与名称3</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725346382866300929" itemCode="AF-0-3-5-3"><a id="1725346382866300929_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346382866300929_Note"></span></div><div class="itemTR" id="1725346383059238914_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-0-3-5-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他诊断ICD-10六位临床编码与名称4</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725346383059238914" itemCode="AF-0-3-5-4"><a id="1725346383059238914_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346383059238914_Note"></span></div><div class="itemTR" id="1725346383243788290_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-0-3-5-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他诊断ICD-10六位临床编码与名称5</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725346383243788290" itemCode="AF-0-3-5-5"><a id="1725346383243788290_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346383243788290_Note"></span></div><div class="itemTR" id="1725346383403171841_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-0-3-5-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他诊断ICD-10六位临床编码与名称6</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725346383403171841" itemCode="AF-0-3-5-6"><a id="1725346383403171841_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346383403171841_Note"></span></div><div class="itemTR" id="1725346383646441473_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-0-3-5-7" class="itemDescTD">其他诊断ICD-10六位临床编码与名称7</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725346383646441473" itemCode="AF-0-3-5-7"><a id="1725346383646441473_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346383646441473_Note"></span></div><div class="itemTR" id="1725346383776464898_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-0-3-5-8" class="itemDescTD">其他诊断ICD-10六位临床编码与名称8</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725346383776464898" itemCode="AF-0-3-5-8"><a id="1725346383776464898_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346383776464898_Note"></span></div><div class="itemTR" id="1725346383961014273_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-0-3-5-9" class="itemDescTD">其他诊断ICD-10六位临床编码与名称9</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725346383961014273" itemCode="AF-0-3-5-9"><a id="1725346383961014273_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346383961014273_Note"></span></div><div class="itemTR" id="1725346384145563649_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-0-3-5-10" class="itemDescTD">其他诊断ICD-10六位临床编码与名称10</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725346384145563649" itemCode="AF-0-3-5-10"><a id="1725346384145563649_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346384145563649_Note"></span></div><div class="itemTR" id="1463706363497623553_Row" dic='[{"formItemId":1463706363497623553,"isDefault":0,"updateDate":1706599305000,"code":"y","id":1463706876758798338,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463706363497623553,"isDefault":1,"updateDate":1706599305000,"code":"n","id":1463706877601853441,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CM-0-1-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否出院后31天内重复住院</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463706363497623553" itemCode="CM-0-1-5"></div><a id="1463706363497623553_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706363497623553_Note"></span></div><p title="相关日期时间信息" class="itemsubCat">相关日期时间信息</p><div class="itemTR" id="1463706366827900930_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出生日期</div><input placeholder="点击选择" class="Date" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706366827900930" itemCode="CM-0-2-1-1"><a id="1463706366827900930_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706366827900930_Note"></span></div><div class="itemTR" id="1463706368912470017_Row" dic='[{"formItemId":1463706368912470017,"isDefault":0,"updateDate":1706599305000,"code":"M","id":1463706879296352258,"indNo":1,"isActive":1,"desc":"男"},{"formItemId":1463706368912470017,"isDefault":0,"updateDate":1706599305000,"code":"F","id":1463706880151990274,"indNo":2,"isActive":1,"desc":"女"}]'><div style="display:inline-block;width:35%;" title="CM-0-2-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者性别</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463706368912470017" itemCode="CM-0-2-1-2"></div><a id="1463706368912470017_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706368912470017_Note"></span></div><div class="itemTR" id="1463706371080925186_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-1-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者体重（kg）</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706371080925186" itemCode="CM-0-2-1-3"><a id="1463706371080925186_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706371080925186_Note"></span></div><div class="itemTR" id="1463706373169688577_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-1-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者身高（cm）</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706373169688577" itemCode="CM-0-2-1-5"><a id="1463706373169688577_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706373169688577_Note"></span></div><div class="itemTR" id="1463706375434612738_Row" dic='[{"formItemId":1463706375434612738,"isDefault":0,"updateDate":1706599305000,"code":"UTD","id":1463706881724854274,"indNo":1,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="CM-0-2-2-1" class="itemDescTD">发病日期时间是否无法确定或无记录</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463706375434612738" itemCode="CM-0-2-2-1"></div><a id="1463706375434612738_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706375434612738_Note"></span></div><div class="itemTR" id="1463706377523376130_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>发病日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706377523376130" itemCode="CM-0-2-2-2"><a id="1463706377523376130_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706377523376130_Note"></span></div><div class="itemTR" id="1463706379729580033_Row" dic='[{"formItemId":1463706379729580033,"isDefault":0,"updateDate":1706599305000,"code":"UTD","id":1463706883461296129,"indNo":1,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="CM-0-2-3-1" class="itemDescTD">到达本院急诊或者门诊日期时间是否无法确定或无记录</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463706379729580033" itemCode="CM-0-2-3-1"></div><a id="1463706379729580033_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706379729580033_Note"></span></div><div class="itemTR" id="1463706381784788993_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>到达本院急诊或者门诊日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706381784788993" itemCode="CM-0-2-3-2"><a id="1463706381784788993_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706381784788993_Note"></span></div><div class="itemTR" id="1463706383890329601_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>入院日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706383890329601" itemCode="CM-0-2-4-1"><a id="1463706383890329601_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706383890329601_Note"></span></div><div class="itemTR" id="1463706387187052546_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-4-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出院日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706387187052546" itemCode="CM-0-2-4-2"><a id="1463706387187052546_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706387187052546_Note"></span></div><div class="itemTR" id="1463706389963681793_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-6-1" class="itemDescTD">手术开始（切皮）日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706389963681793" itemCode="CM-0-2-6-1"><a id="1463706389963681793_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706389963681793_Note"></span></div><div class="itemTR" id="1463706392299909122_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-6-2" class="itemDescTD">手术结束（缝皮结束）日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706392299909122" itemCode="CM-0-2-6-2"><a id="1463706392299909122_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706392299909122_Note"></span></div><p title="其他相关信息" class="itemsubCat">其他相关信息</p><div class="itemTR" id="1463706394728411138_Row" 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dic='[{"formItemId":1463706397018501121,"isDefault":0,"updateDate":1706599305000,"code":"def","id":1463706898330103810,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463706397018501121,"isDefault":0,"updateDate":1706599305000,"code":"a","id":1463706899110244354,"indNo":2,"isActive":1,"desc":"门诊"},{"formItemId":1463706397018501121,"isDefault":0,"updateDate":1706599305000,"code":"b","id":1463706899869413377,"indNo":3,"isActive":1,"desc":"急诊"},{"formItemId":1463706397018501121,"isDefault":0,"updateDate":1706599305000,"code":"c","id":1463706900926377985,"indNo":4,"isActive":1,"desc":"其他医疗机构转入"},{"formItemId":1463706397018501121,"isDefault":0,"updateDate":1706599305000,"code":"d","id":1463706901731684353,"indNo":5,"isActive":1,"desc":"院内其他临床科室转入"},{"formItemId":1463706397018501121,"isDefault":0,"updateDate":1706599305000,"code":"e","id":1463706902553767937,"indNo":6,"isActive":1,"desc":"其他"}]'><div style="display:inline-block;width:35%;" title="CM-0-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>收入住院途径</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706397018501121" itemCode="CM-0-3-2"><a id="1463706397018501121_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706397018501121_Note"></span></div><div class="itemTR" id="1463706399119847426_Row" 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id="1463706399119847426" itemCode="CM-0-3-3"><a id="1463706399119847426_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706399119847426_Note"></span></div></div><div class="itemCat" id="Title1" onclick="objScreen.toggle('AF-1: 风险评估')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;AF-1: 风险评估</div><div title="AF-1: 风险评估"><p title="房颤患者分类" class="itemsubCat">房颤患者分类</p><div class="itemTR" id="1499648881699332097_Row" 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id="1463706412906524674" itemCode="AF-1-1-4"></div><a id="1463706412906524674_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706412906524674_Note"></span></div><p title="实施房颤患者脑卒中风险评估与分层" class="itemsubCat">实施房颤患者脑卒中风险评估与分层</p><div class="itemTR" id="1725346389694627842_Row" dic='[{"formItemId":1725346389694627842,"isDefault":1,"updateDate":1706599305000,"code":"y","matchRule":"","updateUser":"admin","id":1725346446254817281,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1725346389694627842,"isDefault":0,"updateDate":1706599305000,"code":"n","matchRule":"","updateUser":"admin","id":1725346446300954626,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="AF-1-2-7" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>房颤患者是否进行脑卒中风险评估</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" 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style="display:inline-block;width:35%;" title="AF-1-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>房颤患者脑卒中风险评估工具</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706415150477313" itemCode="AF-1-2-1"><a id="1463706415150477313_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706415150477313_Note"></span></div><div class="itemTR" id="1463706417377652737_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-1-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>使用CHADS₂评分工具的房颤患者脑卒中风险评估分值</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706417377652737" itemCode="AF-1-2-2"><a id="1463706417377652737_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706417377652737_Note"></span></div><div class="itemTR" id="1463706419504164866_Row" dic='[{"formItemId":1463706419504164866,"isDefault":0,"updateDate":1706599305000,"code":"def","id":1463706936968032257,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463706419504164866,"isDefault":0,"updateDate":1706599305000,"code":"a","id":1463706937764950017,"indNo":2,"isActive":1,"desc":"高危≥2分"},{"formItemId":1463706419504164866,"isDefault":0,"updateDate":1706599305000,"code":"b","id":1463706938519924738,"indNo":3,"isActive":1,"desc":"中危 1分"},{"formItemId":1463706419504164866,"isDefault":0,"updateDate":1706599305000,"code":"c","id":1463706939283288065,"indNo":4,"isActive":1,"desc":"低危 0分"},{"formItemId":1463706419504164866,"isDefault":0,"updateDate":1706599305000,"code":"UTD","id":1463706940042457089,"indNo":5,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="AF-1-2-3" class="itemDescTD">CHADS₂评分风险评估分层</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706419504164866" itemCode="AF-1-2-3"><a id="1463706419504164866_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706419504164866_Note"></span></div><div class="itemTR" id="1463706422381457409_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-1-2-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>使用CHA₂DS₂-VASc评分工具的房颤患者脑卒中风险评估分值</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706422381457409" itemCode="AF-1-2-4"><a id="1463706422381457409_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706422381457409_Note"></span></div><div class="itemTR" id="1463706424684130305_Row" 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style="display:inline-block;width:35%;" title="AF-1-2-5" class="itemDescTD">房颤患者脑卒中风险评估分层</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706424684130305" itemCode="AF-1-2-5"><a id="1463706424684130305_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706424684130305_Note"></span></div><p title="实施房颤患者 出血风险评估（HAS-BLED 评分）" class="itemsubCat">实施房颤患者 出血风险评估（HAS-BLED 评分）</p><div class="itemTR" id="1463706427045523458_Row" dic='[{"formItemId":1463706427045523458,"isDefault":1,"updateDate":1706599305000,"code":"y","matchRule":"","updateUser":"admin","id":1463706946388439041,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1463706427045523458,"isDefault":0,"updateDate":1706599305000,"code":"n","matchRule":"","updateUser":"admin","id":1463706947239882753,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="AF-1-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否首次房颤患者 出血风险评估(HAS-BLED 评分)</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463706427045523458" itemCode="AF-1-3-1"></div><a id="1463706427045523458_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706427045523458_Note"></span></div><div class="itemTR" id="1463706429293670402_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-1-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>首次房颤患者 出血风险评估分值</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706429293670402" itemCode="AF-1-3-2"><a id="1463706429293670402_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706429293670402_Note"></span></div><div class="itemTR" id="1463706431495680002_Row" dic='[{"formItemId":1463706431495680002,"isDefault":0,"updateDate":1706599305000,"code":"y","id":1463706948829523970,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463706431495680002,"isDefault":0,"updateDate":1706599305000,"code":"n","id":1463706949601275906,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="AF-1-3-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>HAS-BLED评分≥3者视为高危患者</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463706431495680002" itemCode="AF-1-3-4"></div><a id="1463706431495680002_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706431495680002_Note"></span></div><p title="实施影像学检查评估" class="itemsubCat">实施影像学检查评估</p><div class="itemTR" id="1463706433777381377_Row" dic='[{"formItemId":1463706433777381377,"isDefault":0,"updateDate":1706599305000,"code":"y","id":1463706951136391169,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463706433777381377,"isDefault":0,"updateDate":1706599305000,"code":"n","id":1463706951903948801,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="AF-1-6-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否实施超声心动图评估</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463706433777381377" itemCode="AF-1-6-1"></div><a id="1463706433777381377_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706433777381377_Note"></span></div><div class="itemTR" id="1463706435945836546_Row" dic='[{"formItemId":1463706435945836546,"isDefault":0,"updateDate":1706599305000,"code":"a","id":1463706953481007105,"indNo":1,"isActive":1,"desc":"经胸超声心动图（TTE)"},{"formItemId":1463706435945836546,"isDefault":0,"updateDate":1706599305000,"code":"b","id":1463706955322306562,"indNo":2,"isActive":1,"desc":"经食道超声心动图（TEE)"},{"formItemId":1463706435945836546,"isDefault":0,"updateDate":1706599305000,"code":"c","id":1463706958371565570,"indNo":3,"isActive":1,"desc":"心腔内超声（ICE）"},{"formItemId":1463706435945836546,"isDefault":0,"updateDate":1706599305000,"code":"oth","id":1463706959176871937,"indNo":4,"isActive":1,"desc":"其他方法"}]'><div style="display:inline-block;width:35%;" title="AF-1-6-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>检查方法</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463706435945836546" itemCode="AF-1-6-2"></div><a id="1463706435945836546_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706435945836546_Note"></span></div><div class="itemTR" id="1463706438131068929_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-1-6-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他检查方法</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706438131068929" itemCode="AF-1-6-2-1"><a id="1463706438131068929_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706438131068929_Note"></span></div><div class="itemTR" id="1463706440257581058_Row" dic='[{"formItemId":1463706440257581058,"isDefault":0,"updateDate":1706599305000,"code":"a","id":1463706960728764417,"indNo":1,"isActive":1,"desc":"左室射血分数"},{"formItemId":1463706440257581058,"isDefault":0,"updateDate":1706599305000,"code":"d","id":1725346447957704706,"indNo":2,"isActive":1,"desc":"左室内径LV"},{"formItemId":1463706440257581058,"isDefault":0,"updateDate":1706599305000,"code":"e","id":1725346448003842050,"indNo":3,"isActive":1,"desc":"左房内径LA"},{"formItemId":1463706440257581058,"isDefault":0,"updateDate":1706599305000,"code":"f","id":1725346448049979394,"indNo":4,"isActive":1,"desc":"右室内径RV"},{"formItemId":1463706440257581058,"isDefault":0,"updateDate":1706599305000,"code":"g","id":1725346448096116738,"indNo":5,"isActive":1,"desc":"右房内径RA"}]'><div style="display:inline-block;width:35%;" title="AF-1-6-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>首次超声心动图评估结果</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463706440257581058" itemCode="AF-1-6-3"></div><a id="1463706440257581058_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706440257581058_Note"></span></div><div class="itemTR" id="1463706442413453313_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-1-6-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>左室射血分数(%)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706442413453313" itemCode="AF-1-6-3-1"><a id="1463706442413453313_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706442413453313_Note"></span></div><div class="itemTR" id="1725346392068603906_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-1-6-3-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>左室内径LV(mm)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725346392068603906" itemCode="AF-1-6-3-4"><a id="1725346392068603906_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346392068603906_Note"></span></div><div class="itemTR" id="1725346392248958977_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-1-6-3-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>左房内径LA(mm)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725346392248958977" itemCode="AF-1-6-3-5"><a id="1725346392248958977_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346392248958977_Note"></span></div><div class="itemTR" id="1725346392450285569_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-1-6-3-6" class="itemDescTD"><span name="isNeeded" 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dic='[{"formItemId":1463706450101612545,"isDefault":0,"updateDate":1706599305000,"code":"y","matchRule":"","updateUser":"admin","id":1463706964189065217,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1463706450101612545,"isDefault":1,"updateDate":1706599305000,"code":"n","matchRule":"","updateUser":"admin","id":1463706965002760193,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="AF-1-6-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否有左心房/左心耳血栓</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463706450101612545" itemCode="AF-1-6-4"></div><a id="1463706450101612545_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706450101612545_Note"></span></div><div class="itemTR" id="1463706452332982273_Row" dic='[{"formItemId":1463706452332982273,"isDefault":0,"updateDate":1706599305000,"code":"y","matchRule":"","updateUser":"admin","id":1463706966709841921,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1463706452332982273,"isDefault":1,"updateDate":1706599305000,"code":"n","matchRule":"","updateUser":"admin","id":1463706967536119809,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="AF-1-6-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否有心包积液</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463706452332982273" itemCode="AF-1-6-5"></div><a id="1463706452332982273_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706452332982273_Note"></span></div><div class="itemTR" id="1463706454581129217_Row" dic='[{"formItemId":1463706454581129217,"isDefault":0,"updateDate":1706599305000,"code":"def","id":1463706969180286978,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463706454581129217,"isDefault":0,"updateDate":1706599305000,"code":"a","id":1463706969956233218,"indNo":2,"isActive":1,"desc":"微量:2-3mm ,<50ml:房室沟 下后壁"},{"formItemId":1463706454581129217,"isDefault":0,"updateDate":1706599305000,"code":"b","id":1463706970874785794,"indNo":3,"isActive":1,"desc":"少量:3-5mm ,50-100ml: 下后壁"},{"formItemId":1463706454581129217,"isDefault":0,"updateDate":1706599305000,"code":"c","id":1463706971734618114,"indNo":4,"isActive":1,"desc":"中量:5-10mm ,100-300ml:房室沟 下后壁 心尖区"},{"formItemId":1463706454581129217,"isDefault":0,"updateDate":1706599305000,"code":"d","id":1463706972602839042,"indNo":5,"isActive":1,"desc":"大量:10-20mm ,300-1000ml整个心腔"},{"formItemId":1463706454581129217,"isDefault":0,"updateDate":1706599305000,"code":"e","id":1463706973408145410,"indNo":6,"isActive":1,"desc":"极大量:20-60mm ,1000-40000ml:明显摆动"}]'><div style="display:inline-block;width:35%;" title="AF-1-6-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>心包积液分级</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706454581129217" itemCode="AF-1-6-6"><a id="1463706454581129217_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706454581129217_Note"></span></div><div class="itemTR" id="1463706457248706562_Row" dic='[{"formItemId":1463706457248706562,"isDefault":0,"updateDate":1706599305000,"code":"y","matchRule":"","updateUser":"admin","id":1463706974943260673,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1463706457248706562,"isDefault":1,"updateDate":1706599305000,"code":"n","matchRule":"","updateUser":"admin","id":1463706975740178434,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="AF-1-6-7" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否实施冠脉CTA造影评估</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463706457248706562" itemCode="AF-1-6-7"></div><a id="1463706457248706562_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706457248706562_Note"></span></div><div class="itemTR" id="1463706459375218690_Row" dic='[{"formItemId":1463706459375218690,"isDefault":0,"updateDate":1706599305000,"code":"def","id":1463706977359179778,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463706459375218690,"isDefault":0,"updateDate":1706599305000,"code":"a","id":1463706979401805825,"indNo":2,"isActive":1,"desc":"左主干LM病变（病变狭窄超过50%）"},{"formItemId":1463706459375218690,"isDefault":0,"updateDate":1706599305000,"code":"b","id":1463706980165169154,"indNo":3,"isActive":1,"desc":"前降支LAD系统病变（含左前降支、对角支、中间支病变狭窄超过50%）"},{"formItemId":1463706459375218690,"isDefault":0,"updateDate":1706599305000,"code":"c","id":1463706980983058434,"indNo":4,"isActive":1,"desc":"回旋支LCX系统病变（含回旋支、钝缘支病变狭窄超过50%）"},{"formItemId":1463706459375218690,"isDefault":0,"updateDate":1706599305000,"code":"d","id":1463706981813530625,"indNo":5,"isActive":1,"desc":"右冠脉RCA系统病变（含右冠脉、后降支、左室后支病变狭窄超过50%）"},{"formItemId":1463706459375218690,"isDefault":0,"updateDate":1706599305000,"code":"e","id":1463706982761443329,"indNo":6,"isActive":1,"desc":"无血管病变"}]'><div style="display:inline-block;width:35%;" title="AF-1-6-8" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>冠状动脉病变</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706459375218690" itemCode="AF-1-6-8"><a id="1463706459375218690_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706459375218690_Note"></span></div><div class="itemTR" id="1463706461543673857_Row" dic='[{"formItemId":1463706461543673857,"isDefault":0,"updateDate":1706599305000,"code":"y","id":1463706984527245313,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463706461543673857,"isDefault":0,"updateDate":1706599305000,"code":"n","id":1463706985324163073,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="AF-1-6-9" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否实施X线胸片检查评估</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463706461543673857" itemCode="AF-1-6-9"></div><a id="1463706461543673857_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706461543673857_Note"></span></div><div class="itemTR" id="1463706464404189186_Row" dic='[{"formItemId":1463706464404189186,"isDefault":0,"updateDate":1706599305000,"code":"def","id":1463706988285341698,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463706464404189186,"isDefault":0,"updateDate":1706599305000,"code":"a","id":1463706989078065154,"indNo":2,"isActive":1,"desc":"心影增大"},{"formItemId":1463706464404189186,"isDefault":0,"updateDate":1706599305000,"code":"b","id":1463706989866594306,"indNo":3,"isActive":1,"desc":"肺淤血"},{"formItemId":1463706464404189186,"isDefault":0,"updateDate":1706599305000,"code":"c","id":1463706990638346241,"indNo":4,"isActive":1,"desc":"无阳性病变"},{"formItemId":1463706464404189186,"isDefault":0,"updateDate":1706599305000,"code":"oth","id":1463706991833722882,"indNo":5,"isActive":1,"desc":"其他"}]'><div style="display:inline-block;width:35%;" title="AF-1-6-10" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>X线胸片检查所见</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706464404189186" itemCode="AF-1-6-10"><a id="1463706464404189186_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706464404189186_Note"></span></div><div class="itemTR" id="1463706466690084865_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-1-6-10-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>X线胸片检查其他所见</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706466690084865" itemCode="AF-1-6-10-1"><a id="1463706466690084865_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706466690084865_Note"></span></div><div class="itemTR" id="1463706468908871681_Row" dic='[{"formItemId":1463706468908871681,"isDefault":0,"updateDate":1706599305000,"code":"a","id":1463706993368838145,"indNo":1,"isActive":1,"desc":"血肌酐值"},{"formItemId":1463706468908871681,"isDefault":0,"updateDate":1706599305000,"code":"b","id":1463706994123812866,"indNo":2,"isActive":1,"desc":"总胆固醇"},{"formItemId":1463706468908871681,"isDefault":0,"updateDate":1706599305000,"code":"c","id":1463706994878787585,"indNo":3,"isActive":1,"desc":"低密度脂蛋白"},{"formItemId":1463706468908871681,"isDefault":0,"updateDate":1706599305000,"code":"d","id":1463706995923169282,"indNo":4,"isActive":1,"desc":"血糖"},{"formItemId":1463706468908871681,"isDefault":0,"updateDate":1706599305000,"code":"e","id":1463706996686532610,"indNo":5,"isActive":1,"desc":"血红蛋白"},{"formItemId":1463706468908871681,"isDefault":0,"updateDate":1706599305000,"code":"f","id":1463706997462478850,"indNo":6,"isActive":1,"desc":"CK-MB"},{"formItemId":1463706468908871681,"isDefault":0,"updateDate":1706599305000,"code":"g","id":1463706998653661186,"indNo":7,"isActive":1,"desc":"cTnI"},{"formItemId":1463706468908871681,"isDefault":0,"updateDate":1706599305000,"code":"h","id":1463706999450578946,"indNo":8,"isActive":1,"desc":"B型钠尿肽（BNP）检测"},{"formItemId":1463706468908871681,"isDefault":0,"updateDate":1706599305000,"code":"i","id":1463707000234913793,"indNo":9,"isActive":1,"desc":"N端B型钠尿肽前体（NT-ProBNP）检测"},{"formItemId":1463706468908871681,"isDefault":0,"updateDate":1706599305000,"code":"j","id":1463707000989888513,"indNo":10,"isActive":1,"desc":"TSH检测"},{"formItemId":1463706468908871681,"isDefault":0,"updateDate":1706599305000,"code":"k","id":1463707001799389185,"indNo":11,"isActive":1,"desc":"T3检测"},{"formItemId":1463706468908871681,"isDefault":0,"updateDate":1706599305000,"code":"l","id":1463707002629861377,"indNo":12,"isActive":1,"desc":"T4检测"}]'><div style="display:inline-block;width:35%;" title="AF-1-5-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>首次实验室检查结果</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463706468908871681" itemCode="AF-1-5-1"></div><a id="1463706468908871681_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706468908871681_Note"></span></div><div class="itemTR" id="1463706471094104065_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-1-5-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>血肌酐值(mg/dL)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706471094104065" itemCode="AF-1-5-1-1"><a id="1463706471094104065_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706471094104065_Note"></span></div><div class="itemTR" id="1463706473233199105_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-1-5-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>总胆固醇(mg/dL)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706473233199105" itemCode="AF-1-5-1-2"><a id="1463706473233199105_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706473233199105_Note"></span></div><div class="itemTR" id="1463706476651556865_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-1-5-1-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>低密度脂蛋白(mg/dL)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706476651556865" itemCode="AF-1-5-1-3"><a id="1463706476651556865_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706476651556865_Note"></span></div><div class="itemTR" id="1463706479759536129_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-1-5-1-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>血糖(mg/dL)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706479759536129" itemCode="AF-1-5-1-4"><a id="1463706479759536129_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706479759536129_Note"></span></div><div class="itemTR" id="1463706481944768514_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-1-5-1-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>血红蛋白(g/L)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706481944768514" itemCode="AF-1-5-1-5"><a id="1463706481944768514_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706481944768514_Note"></span></div><div class="itemTR" id="1463706490488565762_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-1-5-1-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>CK-MB(U/L)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706490488565762" itemCode="AF-1-5-1-6"><a id="1463706490488565762_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706490488565762_Note"></span></div><div class="itemTR" id="1463706494074695681_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-1-5-1-7" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>cTnI(ug/L)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706494074695681" itemCode="AF-1-5-1-7"><a id="1463706494074695681_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706494074695681_Note"></span></div><div class="itemTR" id="1463706497312698369_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-1-5-1-8" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>B型钠尿肽（BNP）检测值(pg/L)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706497312698369" itemCode="AF-1-5-1-8"><a id="1463706497312698369_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706497312698369_Note"></span></div><div class="itemTR" id="1463706500882051074_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-1-5-1-9" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>N端B型钠尿肽前体（NT-ProBNP）检测值(ng/L)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706500882051074" itemCode="AF-1-5-1-9"><a id="1463706500882051074_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706500882051074_Note"></span></div><div class="itemTR" id="1463706503998418945_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-1-5-1-10" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>TSH检测值(mlU/L)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706503998418945" itemCode="AF-1-5-1-10"><a id="1463706503998418945_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706503998418945_Note"></span></div><div class="itemTR" id="1463706506431115265_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-1-5-1-11" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>T3检测值(ng/mL)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706506431115265" itemCode="AF-1-5-1-11"><a id="1463706506431115265_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706506431115265_Note"></span></div><div class="itemTR" id="1463706508574404610_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-1-5-1-12" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>T4检测值(ng/mL)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706508574404610" itemCode="AF-1-5-1-12"><a id="1463706508574404610_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706508574404610_Note"></span></div></div><div class="itemCat" id="Title2" onclick="objScreen.toggle('AF-2: 抗凝药物使用情况使用情况')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;AF-2: 抗凝药物使用情况使用情况</div><div title="AF-2: 抗凝药物使用情况使用情况"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1725346397122740225_Row" dic='[{"formItemId":1725346397122740225,"isDefault":0,"updateDate":1706599305000,"code":"def","matchRule":"","updateUser":"admin","id":1725346451011158017,"indNo":1,"isActive":1,"keyword":"","desc":"请选择"},{"formItemId":1725346397122740225,"isDefault":0,"updateDate":1706599305000,"code":"a","matchRule":"","updateUser":"admin","id":1725346451082461185,"indNo":2,"isActive":1,"keyword":"","desc":"是, CHA₂DS₂-VASc评分≥2的男性"},{"formItemId":1725346397122740225,"isDefault":0,"updateDate":1706599305000,"code":"b","matchRule":"","updateUser":"admin","id":1725346451145375745,"indNo":3,"isActive":1,"keyword":"","desc":"是, CHA₂DS₂-VASc评分≥3的女性"},{"formItemId":1725346397122740225,"isDefault":1,"updateDate":1706599305000,"code":"n","matchRule":"","updateUser":"admin","id":1725346451216678914,"indNo":4,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="AF-2-1-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否为CHA2DS2-VASc评分≥2的男性或≥3的女性房颤患者</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725346397122740225" itemCode="AF-2-1-1-2"><a id="1725346397122740225_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346397122740225_Note"></span></div><div class="itemTR" id="1463706514140246018_Row" dic='[{"formItemId":1463706514140246018,"isDefault":0,"updateDate":1706599305000,"code":"def","id":1463707006874497025,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463706514140246018,"isDefault":0,"updateDate":1706599305000,"code":"a","id":1463707007704969218,"indNo":2,"isActive":1,"desc":"≥50 ml／min"},{"formItemId":1463706514140246018,"isDefault":0,"updateDate":1706599305000,"code":"b","id":1463707008594161665,"indNo":3,"isActive":1,"desc":"30~49ml／min"},{"formItemId":1463706514140246018,"isDefault":0,"updateDate":1706599305000,"code":"c","id":1463707009403662337,"indNo":4,"isActive":1,"desc":"15~29ml／min"},{"formItemId":1463706514140246018,"isDefault":0,"updateDate":1706599305000,"code":"d","id":1463707010187997185,"indNo":5,"isActive":1,"desc":"＜15ml／min"},{"formItemId":1463706514140246018,"isDefault":0,"updateDate":1706599305000,"code":"UTD","id":1463707010955554817,"indNo":6,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="AF-2-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>肌酐清除率(ml／min)</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706514140246018" itemCode="AF-2-2-1"><a id="1463706514140246018_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706514140246018_Note"></span></div><div class="itemTR" id="1463706516199649281_Row" dic='[{"formItemId":1463706516199649281,"isDefault":0,"updateDate":1706599305000,"code":"y","id":1463707012541001729,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463706516199649281,"isDefault":0,"updateDate":1706599305000,"code":"n","id":1463707013333725186,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="AF-2-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否接受抗凝治疗</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463706516199649281" itemCode="AF-2-3-1"></div><a id="1463706516199649281_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706516199649281_Note"></span></div><div class="itemTR" id="1725346397793828866_Row" dic='[{"formItemId":1725346397793828866,"isDefault":0,"updateDate":1706599305000,"code":"def","id":1725346452021985282,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1725346397793828866,"isDefault":0,"updateDate":1706599305000,"code":"a","id":1725346452089094145,"indNo":2,"isActive":1,"desc":"达比加群酯"},{"formItemId":1725346397793828866,"isDefault":0,"updateDate":1706599305000,"code":"b","id":1725346452135231490,"indNo":3,"isActive":1,"desc":"利伐沙班"},{"formItemId":1725346397793828866,"isDefault":0,"updateDate":1706599305000,"code":"c","id":1725346452227506177,"indNo":4,"isActive":1,"desc":"阿哌沙班"},{"formItemId":1725346397793828866,"isDefault":0,"updateDate":1706599305000,"code":"d","id":1725346452277837826,"indNo":5,"isActive":1,"desc":"艾多沙班"},{"formItemId":1725346397793828866,"isDefault":0,"updateDate":1706599305000,"code":"e","id":1725346452357529602,"indNo":6,"isActive":1,"desc":"华法林"},{"formItemId":1725346397793828866,"isDefault":0,"updateDate":1706599305000,"code":"oth","id":1725346452424638465,"indNo":7,"isActive":1,"desc":"其他非维生素K拮抗剂口服抗凝药物（NOAC）"},{"formItemId":1725346397793828866,"isDefault":0,"updateDate":1706599305000,"code":"UTD","id":1725346452487553025,"indNo":8,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="AF-2-3-2-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>抗凝药选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725346397793828866" itemCode="AF-2-3-2-4"><a id="1725346397793828866_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346397793828866_Note"></span></div><div class="itemTR" id="1463706520435896322_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-2-3-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他非维生素K拮抗剂口服抗凝药物</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706520435896322" itemCode="AF-2-3-2-1"><a id="1463706520435896322_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706520435896322_Note"></span></div><div class="itemTR" id="1463706524235935746_Row" dic='[{"formItemId":1463706524235935746,"isDefault":0,"updateDate":1706599305000,"code":"UTD","id":1463707024113086465,"indNo":1,"isActive":1,"desc":"不确定"},{"formItemId":1463706524235935746,"isDefault":0,"updateDate":1706599305000,"code":"y","id":1463707024922587137,"indNo":2,"isActive":1,"desc":"是"},{"formItemId":1463706524235935746,"isDefault":0,"updateDate":1706599305000,"code":"n","id":1463707025799196674,"indNo":3,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="AF-2-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>华法林治疗后是否测定INR值</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706524235935746" itemCode="AF-2-4-1"><a id="1463706524235935746_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706524235935746_Note"></span></div><div class="itemTR" id="1463706526731546626_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-2-4-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>INR值</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706526731546626" itemCode="AF-2-4-2"><a id="1463706526731546626_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706526731546626_Note"></span></div></div><div class="itemCat" id="Title3" onclick="objScreen.toggle('AF-3: 抗心律失常药物使用情况')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;AF-3: 抗心律失常药物使用情况</div><div title="AF-3: 抗心律失常药物使用情况"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1463706529168437250_Row" dic='[{"formItemId":1463706529168437250,"isDefault":0,"updateDate":1706599305000,"code":"y","id":1463707027409809409,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463706529168437250,"isDefault":0,"updateDate":1706599305000,"code":"n","id":1463707028223504385,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="AF-3-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否接受抗心律失常药物治疗</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463706529168437250" itemCode="AF-3-1-1"></div><a id="1463706529168437250_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706529168437250_Note"></span></div><div class="itemTR" id="1463706531806654465_Row" dic='[{"formItemId":1463706531806654465,"isDefault":0,"updateDate":1706599305000,"code":"a","id":1463707031117574145,"indNo":1,"isActive":1,"desc":"Ⅰa类"},{"formItemId":1463706531806654465,"isDefault":0,"updateDate":1706599305000,"code":"b","id":1463707032178733057,"indNo":2,"isActive":1,"desc":"Ⅰb类"},{"formItemId":1463706531806654465,"isDefault":0,"updateDate":1706599305000,"code":"c","id":1463707033005010946,"indNo":3,"isActive":1,"desc":"Ⅰc类"},{"formItemId":1463706531806654465,"isDefault":0,"updateDate":1706599305000,"code":"d","id":1463707034032615426,"indNo":4,"isActive":1,"desc":"Ⅱ类"},{"formItemId":1463706531806654465,"isDefault":0,"updateDate":1706599305000,"code":"e","id":1463707035014082562,"indNo":5,"isActive":1,"desc":"Ⅲ类"},{"formItemId":1463706531806654465,"isDefault":0,"updateDate":1706599305000,"code":"f","id":1463707035794223105,"indNo":6,"isActive":1,"desc":"Ⅳ类"},{"formItemId":1463706531806654465,"isDefault":0,"updateDate":1706599305000,"code":"oth","id":1463707036624695298,"indNo":7,"isActive":1,"desc":"其他"}]'><div style="display:inline-block;width:35%;" title="AF-3-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>抗心律失常药物</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463706531806654465" itemCode="AF-3-1-2"></div><a id="1463706531806654465_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706531806654465_Note"></span></div><div class="itemTR" id="1463706536399417346_Row" dic='[{"formItemId":1463706536399417346,"isDefault":0,"updateDate":1706599305000,"code":"a","id":1463707039531347969,"indNo":1,"isActive":1,"desc":"奎尼丁"},{"formItemId":1463706536399417346,"isDefault":0,"updateDate":1706599305000,"code":"b","id":1463707040298905601,"indNo":2,"isActive":1,"desc":"普鲁卡因胺"},{"formItemId":1463706536399417346,"isDefault":0,"updateDate":1706599305000,"code":"c","id":1463707041091629058,"indNo":3,"isActive":1,"desc":"丙吡胺"}]'><div style="display:inline-block;width:35%;" title="AF-3-1-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>Ⅰa类药物选择</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463706536399417346" itemCode="AF-3-1-2-1"></div><a id="1463706536399417346_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706536399417346_Note"></span></div><div class="itemTR" id="1463706543399710722_Row" dic='[{"formItemId":1463706543399710722,"isDefault":0,"updateDate":1706599305000,"code":"a","id":1463707042937122818,"indNo":1,"isActive":1,"desc":"利多卡因"},{"formItemId":1463706543399710722,"isDefault":0,"updateDate":1706599305000,"code":"b","id":1463707043767595009,"indNo":2,"isActive":1,"desc":"苯妥英钠"},{"formItemId":1463706543399710722,"isDefault":0,"updateDate":1706599305000,"code":"c","id":1463707044568707073,"indNo":3,"isActive":1,"desc":"美西律"}]'><div style="display:inline-block;width:35%;" title="AF-3-1-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>Ⅰb类药物选择</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463706543399710722" itemCode="AF-3-1-2-2"></div><a id="1463706543399710722_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706543399710722_Note"></span></div><div class="itemTR" id="1463706545538805761_Row" dic='[{"formItemId":1463706545538805761,"isDefault":0,"updateDate":1706599305000,"code":"a","id":1463707046133182465,"indNo":1,"isActive":1,"desc":"普罗帕酮"},{"formItemId":1463706545538805761,"isDefault":0,"updateDate":1706599305000,"code":"b","id":1463707046904934402,"indNo":2,"isActive":1,"desc":"恩卡尼"},{"formItemId":1463706545538805761,"isDefault":0,"updateDate":1706599305000,"code":"c","id":1463707047815098369,"indNo":3,"isActive":1,"desc":"氟卡尼"}]'><div style="display:inline-block;width:35%;" title="AF-3-1-2-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>Ⅰc类药物选择</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463706545538805761" itemCode="AF-3-1-2-3"></div><a id="1463706545538805761_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706545538805761_Note"></span></div><div class="itemTR" id="1463706548529344514_Row" dic='[{"formItemId":1463706548529344514,"isDefault":0,"updateDate":1706599305000,"code":"a","id":1463707049375379458,"indNo":1,"isActive":1,"desc":"普萘洛尔"},{"formItemId":1463706548529344514,"isDefault":0,"updateDate":1706599305000,"code":"b","id":1463707050742722562,"indNo":2,"isActive":1,"desc":"阿替洛尔"},{"formItemId":1463706548529344514,"isDefault":0,"updateDate":1706599305000,"code":"c","id":1463707051564806146,"indNo":3,"isActive":1,"desc":"美托洛尔"},{"formItemId":1463706548529344514,"isDefault":0,"updateDate":1706599305000,"code":"d","id":1463707052349140993,"indNo":4,"isActive":1,"desc":"比索洛尔"}]'><div style="display:inline-block;width:35%;" title="AF-3-1-2-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>Ⅱ类药物选择</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463706548529344514" itemCode="AF-3-1-2-4"></div><a id="1463706548529344514_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706548529344514_Note"></span></div><div class="itemTR" id="1463706550819434497_Row" dic='[{"formItemId":1463706550819434497,"isDefault":0,"updateDate":1706599305000,"code":"a","id":1463707053930393602,"indNo":1,"isActive":1,"desc":"胺碘酮"},{"formItemId":1463706550819434497,"isDefault":0,"updateDate":1706599305000,"code":"b","id":1463707054697951233,"indNo":2,"isActive":1,"desc":"索他洛尔"},{"formItemId":1463706550819434497,"isDefault":0,"updateDate":1706599305000,"code":"c","id":1463707055461314562,"indNo":3,"isActive":1,"desc":"溴苄铵"},{"formItemId":1463706550819434497,"isDefault":0,"updateDate":1706599305000,"code":"d","id":1463707056237260802,"indNo":4,"isActive":1,"desc":"依布替利"},{"formItemId":1463706550819434497,"isDefault":0,"updateDate":1706599305000,"code":"e","id":1463707057009012738,"indNo":5,"isActive":1,"desc":"多非替利"},{"formItemId":1463706550819434497,"isDefault":0,"updateDate":1706599305000,"code":"f","id":1463707057768181762,"indNo":6,"isActive":1,"desc":"决奈达隆"}]'><div style="display:inline-block;width:35%;" title="AF-3-1-2-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>Ⅲ类药物选择</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463706550819434497" itemCode="AF-3-1-2-5"></div><a id="1463706550819434497_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706550819434497_Note"></span></div><div class="itemTR" id="1463706553440874497_Row" dic='[{"formItemId":1463706553440874497,"isDefault":0,"updateDate":1706599305000,"code":"a","id":1463707059353628673,"indNo":1,"isActive":1,"desc":"维拉帕米"},{"formItemId":1463706553440874497,"isDefault":0,"updateDate":1706599305000,"code":"b","id":1463707060121186305,"indNo":2,"isActive":1,"desc":"地尔硫䓬"}]'><div style="display:inline-block;width:35%;" title="AF-3-1-2-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>Ⅳ类药物选择</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463706553440874497" itemCode="AF-3-1-2-6"></div><a id="1463706553440874497_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706553440874497_Note"></span></div><div class="itemTR" id="1463706556225892353_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-3-1-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他常用使用抗心律失常药物</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706556225892353" itemCode="AF-3-1-3"><a id="1463706556225892353_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706556225892353_Note"></span></div></div><div class="itemCat" id="Title4" onclick="objScreen.toggle('AF-4 ACEI/ARB、β受体阻滞剂、醛固酮拮抗剂使用情况')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;AF-4 ACEI/ARB、β受体阻滞剂、醛固酮拮抗剂使用情况</div><div title="AF-4 ACEI/ARB、β受体阻滞剂、醛固酮拮抗剂使用情况"><p title="住院期间ACEI/ARB、β受体阻滞剂、醛固酮拮抗剂使用情况" class="itemsubCat">住院期间ACEI/ARB、β受体阻滞剂、醛固酮拮抗剂使用情况</p><div class="itemTR" id="1463706558339821570_Row" dic='[{"formItemId":1463706558339821570,"isDefault":0,"updateDate":1706599305000,"code":"y","id":1463707061777936385,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463706558339821570,"isDefault":0,"updateDate":1706599305000,"code":"n","id":1463707062558076930,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="AF-4-1-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否有ACEI/ARB用药长期医嘱</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463706558339821570" itemCode="AF-4-1-1-1"></div><a id="1463706558339821570_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706558339821570_Note"></span></div><div class="itemTR" id="1463706560445362178_Row" dic='[{"formItemId":1463706560445362178,"isDefault":0,"updateDate":1706599305000,"code":"def","id":1463707064093192193,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463706560445362178,"isDefault":0,"updateDate":1706599305000,"code":"a","id":1463707064873332738,"indNo":2,"isActive":1,"desc":"ACEI抑制剂药物的选择"},{"formItemId":1463706560445362178,"isDefault":0,"updateDate":1706599305000,"code":"b","id":1463707065733165057,"indNo":3,"isActive":1,"desc":"使用ARB类药物的选择"}]'><div style="display:inline-block;width:35%;" title="AF-4-1-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>长期医嘱药物的选择(ACEI/ARB)</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706560445362178" itemCode="AF-4-1-1-2"><a id="1463706560445362178_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706560445362178_Note"></span></div><div class="itemTR" 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style="width:35%;border:0;height:28px;line-height:28px;" id="1725346408766128129" itemCode="AF-5-3-4"><a id="1725346408766128129_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346408766128129_Note"></span></div><div class="itemTR" id="1725346408984231937_Row" dic='[{"formItemId":1725346408984231937,"isDefault":0,"updateDate":1706599305000,"code":"y","id":1725346465166934018,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1725346408984231937,"isDefault":0,"updateDate":1706599305000,"code":"n","id":1725346465213071361,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="AF-5-3-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>消融的终点，消融后房颤不能被诱发</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725346408984231937" itemCode="AF-5-3-4-1"><a id="1725346408984231937_Source" style="width: 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style="width:35%;border:0;height:28px;line-height:28px;" id="1463706642829881345" itemCode="AF-5-2-2-1"><a id="1463706642829881345_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706642829881345_Note"></span></div><div class="itemTR" id="1725346410825531393_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-5-3-6-1" class="itemDescTD">手术末次经胸心脏超声心动图(TTE)检查日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725346410825531393" itemCode="AF-5-3-6-1"><a id="1725346410825531393_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346410825531393_Note"></span></div><div class="itemTR" id="1725346411014275074_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-5-3-6-2" class="itemDescTD">手术末次术前经食管超声心动图(TEE)检查日期时间</div><input placeholder="点击选择" class="DateT" type="text" 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dic='[{"formItemId":1725346413845430273,"isDefault":0,"updateDate":1706599305000,"code":"a","id":1725346470732775425,"indNo":1,"isActive":1,"desc":"房间隔穿刺导管或封堵器装置系统排气不彻底，导致气体进入左心房"},{"formItemId":1725346413845430273,"isDefault":0,"updateDate":1706599305000,"code":"b","id":1725346470799884289,"indNo":2,"isActive":1,"desc":"从输送鞘回撤猪尾导管过快，造成鞘管内负压而吸入气体，在送入封堵器时，将鞘管内气体推入左心房"},{"formItemId":1725346413845430273,"isDefault":0,"updateDate":1706599305000,"code":"c","id":1725346470875381762,"indNo":3,"isActive":1,"desc":"左心房内压力过低[如压力<10 mmHg（1 mmHg=0.133 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style="width:35%;border:0;display:inline-block;" id="1725346413845430273" itemCode="AF-5-4-5-1"></div><a id="1725346413845430273_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346413845430273_Note"></span></div><div class="itemTR" id="1725346414004813825_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-5-4-5-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他发生空气栓塞与血栓栓塞可能的原因</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725346414004813825" itemCode="AF-5-4-5-2"><a id="1725346414004813825_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346414004813825_Note"></span></div><div class="itemTR" id="1725346414168391681_Row" dic='[{"formItemId":1725346414168391681,"isDefault":0,"updateDate":1706599305000,"code":"a","id":1725346471345143810,"indNo":1,"isActive":1,"desc":"如左心房压力过低（如<10 mmHg），应快速补液，或用大针筒直接通过鞘管向左房补充液体，直至左房压升至10 mmHg以上方可继续LAAC操作"},{"formItemId":1725346414168391681,"isDefault":0,"updateDate":1706599305000,"code":"b","id":1725346471416446978,"indNo":2,"isActive":1,"desc":"如发生严重的冠状动脉空气或血栓栓塞，可导致急性心肌梗死，需按急性心肌梗死的救治原则处理"},{"formItemId":1725346414168391681,"isDefault":0,"updateDate":1706599305000,"code":"c","id":1725346471521304577,"indNo":3,"isActive":1,"desc":"对怀疑脑梗死的患者，应及时进行头颅CT检查，诊断明确后按急性脑梗死处置原则治疗"},{"formItemId":1725346414168391681,"isDefault":0,"updateDate":1706599305000,"code":"oth","id":1725346471571636225,"indNo":4,"isActive":1,"desc":"其他处理方法"}]'><div style="display:inline-block;width:35%;" title="AF-5-4-5-3" class="itemDescTD">常用处理方法</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1725346414168391681" itemCode="AF-5-4-5-3"></div><a id="1725346414168391681_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346414168391681_Note"></span></div><div class="itemTR" id="1725346414340358145_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-5-4-5-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>发生空气栓塞与血栓栓塞其他处理方法</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725346414340358145" itemCode="AF-5-4-5-4"><a id="1725346414340358145_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346414340358145_Note"></span></div><div class="itemTR" id="1725346414545879042_Row" dic='[{"formItemId":1725346414545879042,"isDefault":0,"updateDate":1706599305000,"code":"a","id":1725346471680688129,"indNo":1,"isActive":1,"desc":"封堵器尺寸相对于心耳口径过小"},{"formItemId":1725346414545879042,"isDefault":0,"updateDate":1706599305000,"code":"b","id":1725346471756185602,"indNo":2,"isActive":1,"desc":"封堵器放置太靠外，固定不牢固"},{"formItemId":1725346414545879042,"isDefault":0,"updateDate":1706599305000,"code":"c","id":1725346471819100162,"indNo":3,"isActive":1,"desc":"封堵器预装不牢固，或封堵器全回收后推送杆与封堵器连接处发生解螺旋"},{"formItemId":1725346414545879042,"isDefault":0,"updateDate":1706599305000,"code":"oth","id":1725346471873626114,"indNo":4,"isActive":1,"desc":"其他原因"}]'><div style="display:inline-block;width:35%;" title="AF-5-4-6-1" class="itemDescTD">发生封堵器脱落可能的原因识别</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1725346414545879042" itemCode="AF-5-4-6-1"></div><a id="1725346414545879042_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346414545879042_Note"></span></div><div class="itemTR" id="1725346414751399937_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-5-4-6-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他发生封堵器脱落可能的原因</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725346414751399937" itemCode="AF-5-4-6-2"><a id="1725346414751399937_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346414751399937_Note"></span></div><div class="itemTR" id="1725346414961115137_Row" dic='[{"formItemId":1725346414961115137,"isDefault":0,"updateDate":1706599305000,"code":"a","id":1725346471999455234,"indNo":1,"isActive":1,"desc":"封堵器冲水时需要事先检查封堵器与推送杆连接是否牢固，封堵器全回收后应顺时针旋转推送杆2~3圈确保封堵器与推送杆链接牢靠，从而避免封堵器推出输送鞘管后发生脱落"},{"formItemId":1725346414961115137,"isDefault":0,"updateDate":1706599305000,"code":"b","id":1725346472070758402,"indNo":2,"isActive":1,"desc":"封堵器脱落时，通常情况用圈套器或异物钳将脱落的封堵器固定或调整至相对安全并且容易抓取的心腔内"},{"formItemId":1725346414961115137,"isDefault":0,"updateDate":1706599305000,"code":"c","id":1725346472142061570,"indNo":3,"isActive":1,"desc":"再抓取时，注意轻柔操作，避免造成瓣膜、血管及重要脏器的医源性损伤，以免引起其他严重并发症"},{"formItemId":1725346414961115137,"isDefault":0,"updateDate":1706599305000,"code":"d","id":1725346472200781825,"indNo":4,"isActive":1,"desc":"当用介入方法取出封堵器预期比较困难或者存在很大风险时，建议心外科手术取出"},{"formItemId":1725346414961115137,"isDefault":0,"updateDate":1706599305000,"code":"e","id":1725346472259502082,"indNo":5,"isActive":1,"desc":"建议开展左心耳封堵术的中心，常规备有圈套器、异物钳、15 F可调弯鞘、14~16 F抗折鞘、血管缝合器，以便发生封堵器脱落时可及时处理"},{"formItemId":1725346414961115137,"isDefault":0,"updateDate":1706599305000,"code":"oth","id":1725346472347582465,"indNo":6,"isActive":1,"desc":"其他处理方法"}]'><div style="display:inline-block;width:35%;" title="AF-5-4-6-3" class="itemDescTD">常用处理方法</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1725346414961115137" itemCode="AF-5-4-6-3"></div><a id="1725346414961115137_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346414961115137_Note"></span></div><div class="itemTR" id="1725346415158247425_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-5-4-6-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>发生封堵器脱落其他处理方法</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725346415158247425" itemCode="AF-5-4-6-4"><a id="1725346415158247425_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346415158247425_Note"></span></div><div class="itemTR" id="1725346415279882241_Row" dic='[{"formItemId":1725346415279882241,"isDefault":0,"updateDate":1706599305000,"code":"a","id":1725346472477605890,"indNo":1,"isActive":1,"desc":"穿刺部位出血、血肿"},{"formItemId":1725346415279882241,"isDefault":0,"updateDate":1706599305000,"code":"b","id":1725346472532131841,"indNo":2,"isActive":1,"desc":"股动脉假性动脉瘤"},{"formItemId":1725346415279882241,"isDefault":0,"updateDate":1706599305000,"code":"c","id":1725346472586657794,"indNo":3,"isActive":1,"desc":"股动静脉瘘等血管并发症"},{"formItemId":1725346415279882241,"isDefault":0,"updateDate":1706599305000,"code":"oth","id":1725346472645378049,"indNo":4,"isActive":1,"desc":"其他原因"}]'><div style="display:inline-block;width:35%;" title="AF-5-4-7-1" class="itemDescTD">发生血管损伤可能的原因识别</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1725346415279882241" itemCode="AF-5-4-7-1"></div><a id="1725346415279882241_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346415279882241_Note"></span></div><div class="itemTR" id="1725346415628009474_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-5-4-7-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他发生血管损伤可能的原因</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725346415628009474" itemCode="AF-5-4-7-2"><a id="1725346415628009474_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346415628009474_Note"></span></div><div class="itemTR" id="1725346415770615809_Row" dic='[{"formItemId":1725346415770615809,"isDefault":0,"updateDate":1706599305000,"code":"a","id":1725346472750235650,"indNo":1,"isActive":1,"desc":"部分股动脉假性动脉瘤或股动静脉瘘可通过局部压迫血管破口闭合，若不成功"},{"formItemId":1725346415770615809,"isDefault":0,"updateDate":1706599305000,"code":"b","id":1725346472800567297,"indNo":2,"isActive":1,"desc":"可置入覆膜支架或外科手术修补破口"},{"formItemId":1725346415770615809,"isDefault":0,"updateDate":1706599305000,"code":"oth","id":1725346472846704641,"indNo":3,"isActive":1,"desc":"其他处理方法"}]'><div style="display:inline-block;width:35%;" title="AF-5-4-7-3" class="itemDescTD">常用处理方法</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1725346415770615809" itemCode="AF-5-4-7-3"></div><a id="1725346415770615809_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346415770615809_Note"></span></div><div class="itemTR" id="1725346415909027841_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-5-4-7-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>发生血管损伤其他处理方法</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725346415909027841" itemCode="AF-5-4-7-4"><a id="1725346415909027841_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346415909027841_Note"></span></div><div class="itemTR" id="1725346416110354434_Row" dic='[{"formItemId":1725346416110354434,"isDefault":0,"updateDate":1706599305000,"code":"a","id":1725346472930590721,"indNo":1,"isActive":1,"desc":"盖式封堵器的外盘过大可磨损二尖瓣瓣叶和导致二尖瓣反流的发生"},{"formItemId":1725346416110354434,"isDefault":0,"updateDate":1706599305000,"code":"b","id":1725346472976728066,"indNo":2,"isActive":1,"desc":"封堵器的远端如果压缩比过大或者倒钩较为突出，可引起肺动脉损伤"},{"formItemId":1725346416110354434,"isDefault":0,"updateDate":1706599305000,"code":"oth","id":1725346473027059713,"indNo":3,"isActive":1,"desc":"其他原因"}]'><div style="display:inline-block;width:35%;" title="AF-5-4-8-1" class="itemDescTD">发生封堵器对毗邻结构影响可能的原因识别</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1725346416110354434" itemCode="AF-5-4-8-1"></div><a id="1725346416110354434_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346416110354434_Note"></span></div><div class="itemTR" id="1725346416311681025_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-5-4-8-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他发生封堵器对毗邻结构影响可能的原因</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725346416311681025" itemCode="AF-5-4-8-2"><a id="1725346416311681025_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346416311681025_Note"></span></div><div class="itemTR" id="1725346416546562050_Row" dic='[{"formItemId":1725346416546562050,"isDefault":0,"updateDate":1706599305000,"code":"a","id":1725346473115140098,"indNo":1,"isActive":1,"desc":"盖式封堵器在操作过程应注意其对毗邻的二尖瓣或肺静脉结构的影响，避免影响二尖瓣或肺静脉的正常功能"},{"formItemId":1725346416546562050,"isDefault":0,"updateDate":1706599305000,"code":"b","id":1725346473169666049,"indNo":2,"isActive":1,"desc":"术后随访期间也应使用TTE/TEE观察封堵器延迟移位对这些毗邻结构的影响"},{"formItemId":1725346416546562050,"isDefault":0,"updateDate":1706599305000,"code":"oth","id":1725346473219997697,"indNo":3,"isActive":1,"desc":"其他处理方法"}]'><div style="display:inline-block;width:35%;" title="AF-5-4-8-3" class="itemDescTD">常用处理方法</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1725346416546562050" itemCode="AF-5-4-8-3"></div><a id="1725346416546562050_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346416546562050_Note"></span></div><div class="itemTR" id="1725346416722722818_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-5-4-8-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>发生封堵器对毗邻结构影响其他处理方法</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725346416722722818" itemCode="AF-5-4-8-4"><a id="1725346416722722818_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346416722722818_Note"></span></div><div class="itemTR" id="1725346416915660802_Row" dic='[{"formItemId":1725346416915660802,"isDefault":0,"updateDate":1706599305000,"code":"a","id":1725346473308078081,"indNo":1,"isActive":1,"desc":"术中卒中：高龄、近期心肌梗死、吸烟饮酒史、下肢血管病、体质量指数、出血需再次手术、呼吸衰竭"},{"formItemId":1725346416915660802,"isDefault":0,"updateDate":1706599305000,"code":"b","id":1725346473350021122,"indNo":2,"isActive":1,"desc":"术后卒中：女性、术中肾衰竭、呼吸衰竭、术后肾衰竭"},{"formItemId":1725346416915660802,"isDefault":0,"updateDate":1706599305000,"code":"c","id":1725346473391964161,"indNo":3,"isActive":1,"desc":"微检子栓塞、低灌注、体外循环"},{"formItemId":1725346416915660802,"isDefault":0,"updateDate":1706599305000,"code":"oth","id":1725346473438101505,"indNo":4,"isActive":1,"desc":"其他原因"}]'><div style="display:inline-block;width:35%;" title="AF-5-4-9-1" class="itemDescTD">发生术中及术后卒中可能的原因识别</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1725346416915660802" itemCode="AF-5-4-9-1"></div><a id="1725346416915660802_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346416915660802_Note"></span></div><div class="itemTR" id="1725346417167319041_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-5-4-9-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他发生术中及术后卒中可能的原因</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725346417167319041" itemCode="AF-5-4-9-2"><a id="1725346417167319041_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346417167319041_Note"></span></div><div class="itemTR" id="1725346417364451330_Row" dic='[{"formItemId":1725346417364451330,"isDefault":0,"updateDate":1706599305000,"code":"a","id":1725346473534570497,"indNo":1,"isActive":1,"desc":"神经功能缺损;平估，通过CT或MRI证实缺血性卒中/ 出血性卒中"},{"formItemId":1725346417364451330,"isDefault":0,"updateDate":1706599305000,"code":"b","id":1725346473580707842,"indNo":2,"isActive":1,"desc":"缺血性卒中：具有指症时及时溶栓治疗或血管内治疗"},{"formItemId":1725346417364451330,"isDefault":0,"updateDate":1706599305000,"code":"c","id":1725346473631039489,"indNo":3,"isActive":1,"desc":"出血性卒中：具有指症时及时介入导管引流或手术减压治疗"},{"formItemId":1725346417364451330,"isDefault":0,"updateDate":1706599305000,"code":"oth","id":1725346473727508481,"indNo":4,"isActive":1,"desc":"其他处理方法"}]'><div style="display:inline-block;width:35%;" title="AF-5-4-9-3" class="itemDescTD">常用处理方法</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1725346417364451330" itemCode="AF-5-4-9-3"></div><a id="1725346417364451330_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346417364451330_Note"></span></div><div class="itemTR" id="1725346417578360834_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-5-4-9-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>发生术中及术后卒中其他处理方法</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725346417578360834" itemCode="AF-5-4-9-4"><a id="1725346417578360834_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346417578360834_Note"></span></div><div class="itemTR" id="1725346417850990593_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-5-4-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他治疗并发症</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725346417850990593" itemCode="AF-5-4-3-1"><a id="1725346417850990593_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346417850990593_Note"></span></div><div class="itemTR" id="1463706660169134082_Row" dic='[{"formItemId":1463706660169134082,"isDefault":0,"updateDate":1706599305000,"code":"def","id":1463707242644713473,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463706660169134082,"isDefault":0,"updateDate":1706599305000,"code":"a","id":1463707243479379970,"indNo":2,"isActive":1,"desc":"按时出院"},{"formItemId":1463706660169134082,"isDefault":0,"updateDate":1706599305000,"code":"b","id":1463707245702361090,"indNo":3,"isActive":1,"desc":"延迟出院"},{"formItemId":1463706660169134082,"isDefault":0,"updateDate":1706599305000,"code":"c","id":1463707246486695938,"indNo":4,"isActive":1,"desc":"转科继续治疗"},{"formItemId":1463706660169134082,"isDefault":0,"updateDate":1706599305000,"code":"d","id":1463707247250059266,"indNo":5,"isActive":1,"desc":"死亡"}]'><div style="display:inline-block;width:35%;" title="AF-5-2-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>影响程度的选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706660169134082" itemCode="AF-5-2-5"><a id="1463706660169134082_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706660169134082_Note"></span></div><div class="itemTR" id="1463706662379532290_Row" dic='[{"formItemId":1463706662379532290,"isDefault":0,"updateDate":1706599305000,"code":"def","id":1463707251956068354,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463706662379532290,"isDefault":0,"updateDate":1706599305000,"code":"a","id":1463707252711043074,"indNo":2,"isActive":1,"desc":"术前已服用治疗剂量的华法林"},{"formItemId":1463706662379532290,"isDefault":0,"updateDate":1706599305000,"code":"b","id":1463707253499572225,"indNo":3,"isActive":1,"desc":"术前已服用治疗剂量的或NOAC"},{"formItemId":1463706662379532290,"isDefault":0,"updateDate":1706599305000,"code":"c","id":1463707255747719170,"indNo":8,"isActive":1,"desc":"围术期未行抗凝"},{"formItemId":1463706662379532290,"isDefault":0,"updateDate":1706599305000,"code":"oth","id":1463707256511082497,"indNo":9,"isActive":1,"desc":"其他"},{"formItemId":1463706662379532290,"isDefault":0,"updateDate":1706599305000,"code":"UTD","id":1463707257295417346,"indNo":10,"isActive":1,"desc":"无法确定或无记录"},{"formItemId":1463706662379532290,"isDefault":0,"updateDate":1706599305000,"code":"d","id":1499649060770947074,"indNo":4,"isActive":1,"desc":"术中已应用普通肝素抗凝"},{"formItemId":1463706662379532290,"isDefault":0,"updateDate":1706599305000,"code":"e","id":1499649060775141377,"indNo":5,"isActive":1,"desc":"术中已应用其他抗凝药物抗凝"},{"formItemId":1463706662379532290,"isDefault":0,"updateDate":1706599305000,"code":"f","id":1499649060779335681,"indNo":6,"isActive":1,"desc":"术后已服用治疗剂量的华法林"},{"formItemId":1463706662379532290,"isDefault":0,"updateDate":1706599305000,"code":"g","id":1499649060787724289,"indNo":7,"isActive":1,"desc":"术后已服用治疗剂量的NOAC"}]'><div style="display:inline-block;width:35%;" title="AF-5-2-10" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否围术期抗凝</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706662379532290" itemCode="AF-5-2-10"><a id="1463706662379532290_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706662379532290_Note"></span></div><div class="itemTR" id="1463706664648650753_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-5-2-10-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>围术期抗凝其他方法</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706664648650753" itemCode="AF-5-2-10-1"><a id="1463706664648650753_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706664648650753_Note"></span></div><p title="切口愈合" class="itemsubCat">切口愈合</p><div class="itemTR" id="1463706675654504449_Row" dic='[{"formItemId":1463706675654504449,"isDefault":0,"updateDate":1706599305000,"code":"def","matchRule":"","updateUser":"admin","id":1463707267458215937,"indNo":1,"isActive":1,"keyword":"","desc":"请选择"},{"formItemId":1463706675654504449,"isDefault":1,"updateDate":1706599305000,"code":"a","matchRule":"","updateUser":"admin","id":1463707268632621057,"indNo":2,"isActive":1,"keyword":"","desc":"剪刀清除毛发"},{"formItemId":1463706675654504449,"isDefault":0,"updateDate":1706599305000,"code":"b","matchRule":"","updateUser":"admin","id":1463707269471481858,"indNo":3,"isActive":1,"keyword":"","desc":"手工削刀刮毛"},{"formItemId":1463706675654504449,"isDefault":0,"updateDate":1706599305000,"code":"c","matchRule":"","updateUser":"admin","id":1463707270348091393,"indNo":4,"isActive":1,"keyword":"","desc":"电动削刀刮毛"},{"formItemId":1463706675654504449,"isDefault":0,"updateDate":1706599305000,"code":"d","matchRule":"","updateUser":"admin","id":1463707271132426241,"indNo":5,"isActive":1,"keyword":"","desc":"清洁"},{"formItemId":1463706675654504449,"isDefault":0,"updateDate":1706599305000,"code":"e","matchRule":"","updateUser":"admin","id":1463707271958704130,"indNo":6,"isActive":1,"keyword":"","desc":"脱毛剂"},{"formItemId":1463706675654504449,"isDefault":0,"updateDate":1706599305000,"code":"f","matchRule":"","updateUser":"admin","id":1463707273867112450,"indNo":7,"isActive":1,"keyword":"","desc":"清洁+无菌巾包裹"},{"formItemId":1463706675654504449,"isDefault":0,"updateDate":1706599305000,"code":"g","matchRule":"","updateUser":"admin","id":1463707275674857474,"indNo":8,"isActive":1,"keyword":"","desc":"不做手术野皮肤准备"},{"formItemId":1463706675654504449,"isDefault":0,"updateDate":1706599305000,"code":"h","matchRule":"","updateUser":"admin","id":1463707276517912578,"indNo":9,"isActive":1,"keyword":"","desc":"其他皮肤准备方式"}]'><div style="display:inline-block;width:35%;" title="CM-3-1" class="itemDescTD">手术野皮肤准备常用方法的选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706675654504449" itemCode="CM-3-1"><a id="1463706675654504449_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706675654504449_Note"></span></div><div class="itemTR" id="1463706677835542530_Row" dic='[{"formItemId":1463706677835542530,"isDefault":0,"updateDate":1706599305000,"code":"def","matchRule":"","updateUser":"admin","id":1463707278053027841,"indNo":1,"isActive":1,"keyword":"","desc":"请选择"},{"formItemId":1463706677835542530,"isDefault":0,"updateDate":1706599305000,"code":"a","matchRule":"","updateUser":"admin","id":1463707278845751297,"indNo":2,"isActive":1,"keyword":"","desc":"抗菌薇乔®"},{"formItemId":1463706677835542530,"isDefault":0,"updateDate":1706599305000,"code":"b","matchRule":"","updateUser":"admin","id":1463707279634280450,"indNo":3,"isActive":1,"keyword":"","desc":"抗菌普迪思®"},{"formItemId":1463706677835542530,"isDefault":0,"updateDate":1706599305000,"code":"c","matchRule":"","updateUser":"admin","id":1463707280452169730,"indNo":4,"isActive":1,"keyword":"","desc":"抗菌单乔®"},{"formItemId":1463706677835542530,"isDefault":0,"updateDate":1706599305000,"code":"d","matchRule":"","updateUser":"admin","id":1463707281249087489,"indNo":5,"isActive":1,"keyword":"","desc":"其他含抗菌剂（三氯生）缝线"},{"formItemId":1463706677835542530,"isDefault":1,"updateDate":1706599305000,"code":"e","matchRule":"","updateUser":"admin","id":1463707282012450818,"indNo":6,"isActive":1,"keyword":"","desc":"不使用"},{"formItemId":1463706677835542530,"isDefault":0,"updateDate":1706599305000,"code":"UTD","matchRule":"","updateUser":"admin","id":1463707282859700225,"indNo":7,"isActive":1,"keyword":"","desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="CM-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>使用含抗菌剂（三氯生）缝线</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706677835542530" itemCode="CM-3-2"><a id="1463706677835542530_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706677835542530_Note"></span></div><div class="itemTR" id="1463706679995609089_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-3-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他含抗菌剂缝线填写</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706679995609089" itemCode="CM-3-2-1"><a id="1463706679995609089_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706679995609089_Note"></span></div><div class="itemTR" id="1463706682126315522_Row" dic='[{"formItemId":1463706682126315522,"isDefault":0,"updateDate":1706599305000,"code":"def","id":1463707284474507266,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463706682126315522,"isDefault":0,"updateDate":1706599305000,"code":"a","id":1463707285254647809,"indNo":2,"isActive":1,"desc":"0 类切口"},{"formItemId":1463706682126315522,"isDefault":0,"updateDate":1706599305000,"code":"b","id":1463707286072537090,"indNo":3,"isActive":1,"desc":"Ⅰ类切口"},{"formItemId":1463706682126315522,"isDefault":0,"updateDate":1706599305000,"code":"c","id":1463707286957535234,"indNo":4,"isActive":1,"desc":"Ⅱ类切口"},{"formItemId":1463706682126315522,"isDefault":0,"updateDate":1706599305000,"code":"d","id":1463707287800590337,"indNo":5,"isActive":1,"desc":"Ⅲ类切口"},{"formItemId":1463706682126315522,"isDefault":0,"updateDate":1706599305000,"code":"UTD","id":1463707288693977090,"indNo":6,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="CM-3-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术切口类别的选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706682126315522" itemCode="CM-3-3"><a id="1463706682126315522_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706682126315522_Note"></span></div><div class="itemTR" id="1463706684374462465_Row" dic='[{"formItemId":1463706684374462465,"isDefault":0,"updateDate":1706599305000,"code":"def","matchRule":"","updateUser":"admin","id":1463707290426224641,"indNo":1,"isActive":1,"keyword":"","desc":"请选择"},{"formItemId":1463706684374462465,"isDefault":1,"updateDate":1706599305000,"code":"a","matchRule":"","updateUser":"admin","id":1463707291248308226,"indNo":2,"isActive":1,"keyword":"","desc":"甲级愈合"},{"formItemId":1463706684374462465,"isDefault":0,"updateDate":1706599305000,"code":"b","matchRule":"","updateUser":"admin","id":1463707293114773505,"indNo":3,"isActive":1,"keyword":"","desc":"乙级愈合"},{"formItemId":1463706684374462465,"isDefault":0,"updateDate":1706599305000,"code":"c","matchRule":"","updateUser":"admin","id":1463707293928468481,"indNo":4,"isActive":1,"keyword":"","desc":"丙级愈合"},{"formItemId":1463706684374462465,"isDefault":0,"updateDate":1706599305000,"code":"d","matchRule":"","updateUser":"admin","id":1463707294750552065,"indNo":5,"isActive":1,"keyword":"","desc":"深部感染"},{"formItemId":1463706684374462465,"isDefault":0,"updateDate":1706599305000,"code":"UTD","matchRule":"","updateUser":"admin","id":1463707295627161602,"indNo":6,"isActive":1,"keyword":"","desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="CM-3-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术切口愈合情况的选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706684374462465" itemCode="CM-3-4"><a id="1463706684374462465_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706684374462465_Note"></span></div><div class="itemTR" id="1725346421038661633_Row" dic='[{"formItemId":1725346421038661633,"isDefault":0,"updateDate":1706599305000,"code":"UTD","id":1725346476931956737,"indNo":1,"isActive":1,"desc":"不确定"},{"formItemId":1725346421038661633,"isDefault":0,"updateDate":1706599305000,"code":"y","id":1725346476994871298,"indNo":2,"isActive":1,"desc":"是"},{"formItemId":1725346421038661633,"isDefault":0,"updateDate":1706599305000,"code":"n","id":1725346477066174465,"indNo":3,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="AF-5-3-7" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>术終：术者自我评价,有记录</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725346421038661633" itemCode="AF-5-3-7"><a id="1725346421038661633_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346421038661633_Note"></span></div><div class="itemTR" id="1725346421223211009_Row" dic='[{"formItemId":1725346421223211009,"isDefault":0,"updateDate":1706599305000,"code":"y","id":1725346477171032066,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1725346421223211009,"isDefault":0,"updateDate":1706599305000,"code":"n","id":1725346477242335233,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="AF-5-3-7-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否封堵成功</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725346421223211009" itemCode="AF-5-3-7-1"><a id="1725346421223211009_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346421223211009_Note"></span></div><div class="itemTR" id="1725346421420343297_Row" dic='[{"formItemId":1725346421420343297,"isDefault":0,"updateDate":1706599305000,"code":"y","id":1725346477372358657,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1725346421420343297,"isDefault":0,"updateDate":1706599305000,"code":"n","id":1725346477431078914,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="AF-5-3-7-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否牵拉试验封堵器无移位</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725346421420343297" itemCode="AF-5-3-7-2"><a id="1725346421420343297_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346421420343297_Note"></span></div><div class="itemTR" id="1725346421646835714_Row" dic='[{"formItemId":1725346421646835714,"isDefault":0,"updateDate":1706599305000,"code":"y","id":1725346477603045377,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1725346421646835714,"isDefault":0,"updateDate":1706599305000,"code":"n","id":1725346477649182721,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="AF-5-3-7-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否无分流</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725346421646835714" itemCode="AF-5-3-7-3"><a id="1725346421646835714_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346421646835714_Note"></span></div><div class="itemTR" id="1725346421848162305_Row" dic='[{"formItemId":1725346421848162305,"isDefault":0,"updateDate":1706599305000,"code":"y","id":1725346477749846018,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1725346421848162305,"isDefault":0,"updateDate":1706599305000,"code":"n","id":1725346477816954881,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="AF-5-3-7-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否无并发症</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725346421848162305" itemCode="AF-5-3-7-4"><a id="1725346421848162305_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346421848162305_Note"></span></div><div class="itemTR" id="1725346421982380034_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-5-3-8-1" class="itemDescTD">手术/操作开始日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725346421982380034" itemCode="AF-5-3-8-1"><a id="1725346421982380034_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346421982380034_Note"></span></div><div class="itemTR" id="1725346422162735105_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-5-3-8-2" class="itemDescTD">手术/操作结束日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725346422162735105" itemCode="AF-5-3-8-2"><a id="1725346422162735105_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346422162735105_Note"></span></div><div class="itemTR" id="1725346422376644609_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-5-3-8-3" class="itemDescTD">手术/操作时间(分)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725346422376644609" itemCode="AF-5-3-8-3"><a id="1725346422376644609_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346422376644609_Note"></span></div></div><div class="itemCat" id="Title6" onclick="objScreen.toggle('AF-6: 出院时抗凝药物使用情况')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;AF-6: 出院时抗凝药物使用情况</div><div title="AF-6: 出院时抗凝药物使用情况"><p title="房颤患者 出院医嘱中包括抗凝药物 " class="itemsubCat">房颤患者 出院医嘱中包括抗凝药物 </p><div class="itemTR" id="1725346422544416769_Row" dic='[{"formItemId":1725346422544416769,"isDefault":0,"updateDate":1706599305000,"code":"y","id":1725346477942784002,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1725346422544416769,"isDefault":0,"updateDate":1706599305000,"code":"n","id":1725346478005698561,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="AF-6-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出院医嘱中是否包括抗凝药物</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725346422544416769" itemCode="AF-6-2-1"><a id="1725346422544416769_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346422544416769_Note"></span></div><div class="itemTR" id="1725346422733160449_Row" dic='[{"formItemId":1725346422733160449,"isDefault":0,"updateDate":1706599305000,"code":"def","id":1725346478152499202,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1725346422733160449,"isDefault":0,"updateDate":1706599305000,"code":"a","id":1725346478219608066,"indNo":2,"isActive":1,"desc":"达比加群酯"},{"formItemId":1725346422733160449,"isDefault":0,"updateDate":1706599305000,"code":"b","id":1725346478282522625,"indNo":3,"isActive":1,"desc":"利伐沙班"},{"formItemId":1725346422733160449,"isDefault":0,"updateDate":1706599305000,"code":"c","id":1725346478353825793,"indNo":4,"isActive":1,"desc":"阿哌沙班"},{"formItemId":1725346422733160449,"isDefault":0,"updateDate":1706599305000,"code":"d","id":1725346478416740353,"indNo":5,"isActive":1,"desc":"艾多沙班"},{"formItemId":1725346422733160449,"isDefault":0,"updateDate":1706599305000,"code":"e","id":1725346478488043521,"indNo":6,"isActive":1,"desc":"华法林"},{"formItemId":1725346422733160449,"isDefault":0,"updateDate":1706599305000,"code":"oth","id":1725346478534180865,"indNo":7,"isActive":1,"desc":"其他非维生素K拮抗剂口服抗凝药物（NOAC）"},{"formItemId":1725346422733160449,"isDefault":0,"updateDate":1706599305000,"code":"UTD","id":1725346478580318210,"indNo":8,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="AF-6-1-3-2" class="itemDescTD">新型口服抗凝药（NOAC）or华法林</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725346422733160449" itemCode="AF-6-1-3-2"><a id="1725346422733160449_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346422733160449_Note"></span></div><div class="itemTR" id="1463706689227272193_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-6-1-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他非维生素K拮抗剂口服抗凝药物</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706689227272193" itemCode="AF-6-1-1-1"><a id="1463706689227272193_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706689227272193_Note"></span></div><p title="出院医嘱中包括抗心律失常药物" class="itemsubCat">出院医嘱中包括抗心律失常药物</p><div class="itemTR" id="1725346423135813633_Row" dic='[{"formItemId":1725346423135813633,"isDefault":0,"updateDate":1706599305000,"code":"y","id":1725346478697758722,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1725346423135813633,"isDefault":0,"updateDate":1706599305000,"code":"n","id":1725346478773256194,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="AF-6-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出院医嘱中是否包括抗心律失常药物</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725346423135813633" itemCode="AF-6-2-2"><a id="1725346423135813633_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346423135813633_Note"></span></div><div class="itemTR" id="1725346423391666178_Row" 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style="display:inline-block;width:35%;" title="AF-6-2-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>抗心律失常药物选择</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1725346423391666178" itemCode="AF-6-2-3"></div><a id="1725346423391666178_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346423391666178_Note"></span></div><div class="itemTR" id="1725346423609769985_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-6-2-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他抗心律失常药物</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725346423609769985" itemCode="AF-6-2-3-1"><a id="1725346423609769985_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346423609769985_Note"></span></div><p title="住院期间发生临床出血事件" class="itemsubCat">住院期间发生临床出血事件</p><div class="itemTR" id="1725346423811096577_Row" dic='[{"formItemId":1725346423811096577,"isDefault":0,"updateDate":1706599305000,"code":"y","matchRule":"","updateUser":"admin","id":1725346480375480321,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1725346423811096577,"isDefault":1,"updateDate":1706599305000,"code":"n","matchRule":"","updateUser":"admin","id":1725346480446783490,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="AF-6-2-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>住院治疗过程中是否发生临床出血事件</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725346423811096577" itemCode="AF-6-2-4"><a id="1725346423811096577_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346423811096577_Note"></span></div><div class="itemTR" id="1725346424016617474_Row" dic='[{"formItemId":1725346424016617474,"isDefault":0,"updateDate":1706599305000,"code":"y","id":1725346480606167041,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1725346424016617474,"isDefault":0,"updateDate":1706599305000,"code":"n","id":1725346480652304386,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="AF-6-2-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>住院治疗过程中是否有大出血</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725346424016617474" itemCode="AF-6-2-5"><a id="1725346424016617474_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346424016617474_Note"></span></div><div class="itemTR" id="1725346424272470017_Row" dic='[{"formItemId":1725346424272470017,"isDefault":0,"updateDate":1706599305000,"code":"a","id":1725346480799105026,"indNo":1,"isActive":1,"desc":"致死性出血"},{"formItemId":1725346424272470017,"isDefault":0,"updateDate":1706599305000,"code":"b","id":1725346480862019585,"indNo":2,"isActive":1,"desc":"某些重要部位或器官的出血 ,如颅内、脊柱内、腹膜后、关节内、心包等 ,及因出血引起的骨筋 膜室综合征"},{"formItemId":1725346424272470017,"isDefault":0,"updateDate":1706599305000,"code":"c","id":1725346480924934146,"indNo":3,"isActive":1,"desc":"出血导致血流动力学不稳定 ,和（或)在 24 -48 h 内引起血红蛋白水平下降20 g/L以上 ,或需 要输至少2 个单位全血或红细胞"},{"formItemId":1725346424272470017,"isDefault":0,"updateDate":1706599305000,"code":"d","id":1725346480979460097,"indNo":4,"isActive":1,"desc":"手术部位出血需要再次进行切开 ,关节镜或血管内介入等 ,或关节腔内 出血致活动或伤口恢复推迟 ,使住院时间延长或伤口加深"}]'><div style="display:inline-block;width:35%;" title="AF-6-2-5-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>大出血</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1725346424272470017" itemCode="AF-6-2-5-1"></div><a id="1725346424272470017_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346424272470017_Note"></span></div><div class="itemTR" id="1725346424494768129_Row" dic='[{"formItemId":1725346424494768129,"isDefault":0,"updateDate":1706599305000,"code":"a","id":1725346481155620866,"indNo":1,"isActive":1,"desc":"自发性皮肤出血面积 >25 cm2"},{"formItemId":1725346424494768129,"isDefault":0,"updateDate":1706599305000,"code":"b","id":1725346481222729729,"indNo":2,"isActive":1,"desc":"自发性鼻出血时间 >5 min"},{"formItemId":1725346424494768129,"isDefault":0,"updateDate":1706599305000,"code":"c","id":1725346481294032898,"indNo":3,"isActive":1,"desc":"持续 24 h 肉眼血尿"},{"formItemId":1725346424494768129,"isDefault":0,"updateDate":1706599305000,"code":"d","id":1725346481348558849,"indNo":4,"isActive":1,"desc":"便血（厕纸可见出 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style="width:35%;border:0;display:inline-block;" id="1725346424494768129" itemCode="AF-6-2-5-2"></div><a id="1725346424494768129_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346424494768129_Note"></span></div><div class="itemTR" id="1725346424725454850_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-6-2-5-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他临床相关性非大出血</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725346424725454850" itemCode="AF-6-2-5-3"><a id="1725346424725454850_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346424725454850_Note"></span></div><div class="itemTR" id="1725346424930975745_Row" dic='[]'><div style="display:inline-block;width:35%;" title="AF-6-2-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>首个出血事件发生日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725346424930975745" itemCode="AF-6-2-6"><a id="1725346424930975745_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725346424930975745_Note"></span></div><div class="itemTR" id="1725346425132302337_Row" 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style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706743631589377_Note"></span></div><div class="itemTR" id="1463706745892319234_Row" dic='[{"formItemId":1463706745892319234,"isDefault":0,"updateDate":1706599305000,"code":"def","id":1463707401776607233,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463706745892319234,"isDefault":1,"updateDate":1706599305000,"code":"a","updateUser":"batch","id":1463707402535776257,"indNo":2,"isActive":1,"desc":"患者说他们的护士“总是”很好沟通"},{"formItemId":1463706745892319234,"isDefault":0,"updateDate":1706599305000,"code":"b","id":1463707403286556673,"indNo":3,"isActive":1,"desc":"患者说他们的护士“经常”很好沟通"},{"formItemId":1463706745892319234,"isDefault":0,"updateDate":1706599305000,"code":"c","id":1463707404037337090,"indNo":4,"isActive":1,"desc":"患者说他们的护士“有时”或“从不”很好沟通"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-7" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>护士沟通</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706745892319234" itemCode="CM-5-2-7"><a id="1463706745892319234_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706745892319234_Note"></span></div><div class="itemTR" id="1463706748262100994_Row" dic='[{"formItemId":1463706748262100994,"isDefault":0,"updateDate":1706599305000,"code":"def","id":1463707405585035266,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463706748262100994,"isDefault":1,"updateDate":1706599305000,"code":"a","updateUser":"batch","id":1463707406360981505,"indNo":2,"isActive":1,"desc":"患者说医院员工在给药前“总是”进行药品说明"},{"formItemId":1463706748262100994,"isDefault":0,"updateDate":1706599305000,"code":"b","id":1463707407132733441,"indNo":3,"isActive":1,"desc":"患者说医院员工在给药前“经常”进行药品说明"},{"formItemId":1463706748262100994,"isDefault":0,"updateDate":1706599305000,"code":"c","id":1463707407908679682,"indNo":4,"isActive":1,"desc":"患者说医院员工在给药前“有时”或“从不”进行药品说明"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-8" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>药师沟通</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706748262100994" itemCode="CM-5-2-8"><a id="1463706748262100994_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706748262100994_Note"></span></div><div class="itemTR" id="1463706750367641601_Row" dic='[{"formItemId":1463706750367641601,"isDefault":0,"updateDate":1706599305000,"code":"def","id":1463707412086206466,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463706750367641601,"isDefault":1,"updateDate":1706599305000,"code":"a","updateUser":"batch","id":1463707412866347010,"indNo":2,"isActive":1,"desc":"患者说医生护士已经提供了出院后在家康复期间应该做什么的信息"},{"formItemId":1463706750367641601,"isDefault":0,"updateDate":1706599305000,"code":"b","id":1463707413675847681,"indNo":3,"isActive":1,"desc":"患者说医生护士说了出院后要在家做康复，但没有理解应该具体如何做"},{"formItemId":1463706750367641601,"isDefault":0,"updateDate":1706599305000,"code":"c","id":1463707414435016705,"indNo":4,"isActive":1,"desc":"患者说医生护士没有提供出院后在家康复期间应该做什么的信息"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-9" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>康复计划</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706750367641601" itemCode="CM-5-2-9"><a id="1463706750367641601_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706750367641601_Note"></span></div><div class="itemTR" id="1463706752531902465_Row" dic='[{"formItemId":1463706752531902465,"isDefault":0,"updateDate":1706599305000,"code":"def","id":1463707416309870593,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463706752531902465,"isDefault":1,"updateDate":1706599305000,"code":"a","updateUser":"batch","id":1463707417169702914,"indNo":2,"isActive":1,"desc":"患者强烈同意医生护士在离院时理解了他们的知情告知"},{"formItemId":1463706752531902465,"isDefault":0,"updateDate":1706599305000,"code":"b","id":1463707417945649153,"indNo":3,"isActive":1,"desc":"患者同意医生护士在离院时理解了他们的知情告知"},{"formItemId":1463706752531902465,"isDefault":0,"updateDate":1706599305000,"code":"c","id":1463707418713206786,"indNo":4,"isActive":1,"desc":"患者在离院时不理解医生护士的知情告知"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-10" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出院时的知情告知</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706752531902465" itemCode="CM-5-2-10"><a id="1463706752531902465_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706752531902465_Note"></span></div><div class="itemTR" id="1463706755908317186_Row" dic='[{"formItemId":1463706755908317186,"isDefault":0,"updateDate":1706599305000,"code":"def","id":1463707420495785986,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463706755908317186,"isDefault":1,"updateDate":1706599305000,"code":"a","updateUser":"batch","id":1463707421431115777,"indNo":2,"isActive":1,"desc":"患者给医院膳食评分9或10分"},{"formItemId":1463706755908317186,"isDefault":0,"updateDate":1706599305000,"code":"b","id":1463707422261587969,"indNo":3,"isActive":1,"desc":"患者给医院膳食评分7或8分"},{"formItemId":1463706755908317186,"isDefault":0,"updateDate":1706599305000,"code":"c","id":1463707424161607682,"indNo":4,"isActive":1,"desc":"患者给医院膳食评分6分及以下"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-11" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>膳食评价</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706755908317186" itemCode="CM-5-2-11"><a id="1463706755908317186_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706755908317186_Note"></span></div></div><div class="itemCat" id="Title10" onclick="objScreen.toggle('AF-10：住院费用')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;AF-10：住院费用</div><div title="AF-10：住院费用"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1463706758332624898_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>住院总费用</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706758332624898" itemCode="CM-6-1"><a id="1463706758332624898_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706758332624898_Note"></span></div><div class="itemTR" id="1463706760387833858_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>住院总费用其中自付金额</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706760387833858" itemCode="CM-6-2"><a id="1463706760387833858_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706760387833858_Note"></span></div><div class="itemTR" id="1463706762631786497_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>一般医疗服务费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706762631786497" itemCode="CM-6-3"><a id="1463706762631786497_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706762631786497_Note"></span></div><div class="itemTR" id="1463706764712161282_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>一般治疗操作费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706764712161282" itemCode="CM-6-4"><a id="1463706764712161282_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706764712161282_Note"></span></div><div class="itemTR" id="1463706766788341762_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>护理费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706766788341762" itemCode="CM-6-5"><a id="1463706766788341762_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706766788341762_Note"></span></div><div class="itemTR" id="1463706768960991233_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>综合医疗服务类其他费用</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706768960991233" itemCode="CM-6-6"><a id="1463706768960991233_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706768960991233_Note"></span></div><div class="itemTR" id="1463706771121057794_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-7" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>病理诊断费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706771121057794" itemCode="CM-6-7"><a id="1463706771121057794_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706771121057794_Note"></span></div><div class="itemTR" id="1463706773243375617_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-8" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>实验室诊断费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706773243375617" itemCode="CM-6-8"><a id="1463706773243375617_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706773243375617_Note"></span></div><div class="itemTR" id="1463706776942751746_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-9" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>影像学诊断费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706776942751746" itemCode="CM-6-9"><a id="1463706776942751746_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706776942751746_Note"></span></div><div class="itemTR" id="1463706779178315777_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-10" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>临床诊断项目费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706779178315777" itemCode="CM-6-10"><a id="1463706779178315777_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706779178315777_Note"></span></div><div class="itemTR" id="1463706781267079169_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-11" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>非手术治疗项目费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706781267079169" itemCode="CM-6-11"><a id="1463706781267079169_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706781267079169_Note"></span></div><div class="itemTR" id="1463706783360036866_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-12" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：临床物理治疗费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706783360036866" itemCode="CM-6-12"><a id="1463706783360036866_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706783360036866_Note"></span></div><div class="itemTR" id="1463706785452994562_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-13" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术治疗费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706785452994562" itemCode="CM-6-13"><a id="1463706785452994562_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706785452994562_Note"></span></div><div class="itemTR" id="1463706787524980738_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-14" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：麻醉费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706787524980738" itemCode="CM-6-14"><a id="1463706787524980738_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706787524980738_Note"></span></div><div class="itemTR" id="1463706789613744129_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-15" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：手术费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706789613744129" itemCode="CM-6-15"><a id="1463706789613744129_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706789613744129_Note"></span></div><div class="itemTR" id="1463706791723479041_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-16" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>康复费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706791723479041" itemCode="CM-6-16"><a id="1463706791723479041_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706791723479041_Note"></span></div><div class="itemTR" id="1463706793883545602_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-17" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>中医治疗费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706793883545602" itemCode="CM-6-17"><a id="1463706793883545602_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706793883545602_Note"></span></div><div class="itemTR" id="1463706796072972289_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-18" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>西药费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706796072972289" itemCode="CM-6-18"><a id="1463706796072972289_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706796072972289_Note"></span></div><div class="itemTR" id="1463706798258204673_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-19" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：抗菌药物费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706798258204673" itemCode="CM-6-19"><a id="1463706798258204673_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706798258204673_Note"></span></div><div class="itemTR" id="1463706800305025026_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-20" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>中成药费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706800305025026" itemCode="CM-6-20"><a id="1463706800305025026_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706800305025026_Note"></span></div><div class="itemTR" id="1463706802372816898_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-21" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>中草药费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706802372816898" itemCode="CM-6-21"><a id="1463706802372816898_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706802372816898_Note"></span></div><div class="itemTR" id="1463706804457385986_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-22" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>血费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706804457385986" itemCode="CM-6-22"><a id="1463706804457385986_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706804457385986_Note"></span></div><div class="itemTR" id="1463706806827167746_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-23" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>白蛋白类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706806827167746" itemCode="CM-6-23"><a id="1463706806827167746_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706806827167746_Note"></span></div><div class="itemTR" id="1463706808970457090_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-24" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>球蛋白类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706808970457090" itemCode="CM-6-24"><a id="1463706808970457090_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706808970457090_Note"></span></div><div class="itemTR" id="1463706811189243905_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-25" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>凝血因子类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706811189243905" itemCode="CM-6-25"><a id="1463706811189243905_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706811189243905_Note"></span></div><div class="itemTR" id="1463706814523715586_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-26" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>细胞因子类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706814523715586" itemCode="CM-6-26"><a id="1463706814523715586_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706814523715586_Note"></span></div><div class="itemTR" id="1463706818437001217_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-27" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>检查用一次性医用材料费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706818437001217" itemCode="CM-6-27"><a id="1463706818437001217_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706818437001217_Note"></span></div><div class="itemTR" id="1463706820496404481_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-28" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>治疗用一次性医用材料费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706820496404481" itemCode="CM-6-28"><a id="1463706820496404481_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706820496404481_Note"></span></div><div class="itemTR" id="1463706822576779265_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-29" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术用一次性医用材料费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706822576779265" itemCode="CM-6-29"><a id="1463706822576779265_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706822576779265_Note"></span></div><div class="itemTR" id="1463706824774594561_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-30" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463706824774594561" itemCode="CM-6-30"><a id="1463706824774594561_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463706824774594561_Note"></span></div></div></div></div><div id='anchor' class='anchor'><ul class='anchor-list'><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title0'>基本信息 </a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title1'>AF-1: 风险评估</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title2'>AF-2: 抗凝药物使用情况使用情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title3'>AF-3: 抗心律失常药物使用情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title4'>AF-4 ACEI/ARB、β受体阻滞剂、醛固酮拮抗剂使用情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title5'>AF-5: 房颤患者接受非药物治疗情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title6'>AF-6: 出院时抗凝药物使用情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title7'>AF-7: 住院期间为患者提供健康教育与出院时提供教育告知五要素情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title8'>AF-8: 离院方式</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title9'>AF-9: 患者对服务的体验与评价</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title10'>AF-10：住院费用</a></li></ul></div>
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